8 prescription mix ups at WPAFB pharmacy confirmed

Kitthawk Pharmacy (Photo WDTN/Kris Sproles)

WPAFB, Ohio (WDTN) – The final report concerning a pharmacy mix-up at Wright-Patterson Air Base concluded that no patients actually took the wrong medication.

The report say the prescription medication errors involved were “very small”.

The 88th Medical Group completed its review of what happened that caused some patients to get the wrong prescriptions.

The report says “The majority of the medications brought in by patients and screened by the staff have been found to be accurate, with the exception of eight instances of Tylenol being mixed into refills of Robaxin”.

The review included a check of all patients, equipment and whether there is any continued risk to the public.

It found that improvement was needed at the Kittyhawk Pharmacy where the mix up happened involving an automatic dispensing system.

The investigation found that the pharmacy has an “extraordinary” amount of work, so recommendations were made to set more controls and standards for daily operations, including better checks of the mechanical equipment used while filling prescriptions.

The report found that the robot used at the pharmacy did function properly as did similar robots in other base facilities, but more maintenance checks are necessary.

“We want to thank our patients and the media for partnering with us during the course of this event,” Col. Cassie Barlow, 88th Air Base Wing commander said. “This problem was found because one of our patients chose to take an active role in their health care by speaking up when they identified something that did not seem right. We encourage all of our patients to do this, and owe this patient a debt of gratitude for helping us to ensure that this event did not cause harm to our beneficiaries.”

The hotline set up to answer questions shortly after the mix-up is now disconnected.

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